| NPI | 1649601949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS107054) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017054) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2015-03-18 |